IPACHTE#Qr~ Harnett County Department of Public Health 25316
Improvement Permit
A building permit cannot be issued with only an Improvement Permit
PROPERTY LOCATION: Ccot.-- y)
ISSUED TO: C_ y ~t ~i A~ C G SUBDIVISION k ~ ~w 1~oa N-zn )-,,5 LOT # `
NEW REPAIR ❑ EXPANSION ❑ Site Improvements required prior to Construction Authorization Issuance:
Type of Structure: S VO C°1 t' n3~7~ J
Proposed Wastewater System Type:
~~~~c~ s~ L
Projected Daily Flow: 3 C-- C> GPD
Number of bedrooms: 3 Number of Occupants: max
Basement ❑Yes 19'No
Pump Required: ❑Yes ❑ No May be required based on final location and elevations of facilities
Type of Water Supply: ❑ Community K Public ❑ Well Distance from well feet Permit valid for. Five years
Permit conditions: ❑ No expiration
Authorized State Agent:: --Z" _ Date: 0A SEE ATTACHED SITE SKETCH
The issuance of this permit by the Health Department in no way guarantees the issuanc other permits. The permit holder is resIlonsible for checking with appropriate governing bodies in meeting their requirements. This
site is subject to revocation if the site plan, plat, or the intended use changes. The Improvement Permit shall not be affected by a change in ownership of the site. This permit is subject to compliance with the provisions of
the Laws and Rules for Sewage Treatment and Disposal and to conditions of this permit.
Construction Authorization
(Required for Building Permit)
The construction and installation requirements of Rules .1950, .1952, .1954, .1955, .1956, .1957, .1958. and .1959 are incorporated by references into this permit and shall be met. Systems shall be installed in accordance
with the attached system layout
ISSUED T0: G PROPERTY LOCATION: C-,oL_ CZ9
SUBDIVISION V,~ " '~\Qa\,-w N~, LOT # "Z
Facility Type: ' T New El Expansion F-1 Repair
Basement? ❑ Yes '112-N No Basement Fixtures? ❑ Yes No
Type of Wastewater System' Cc> r.<v C c~ ,cr" Pis (Initial) Wastewater Flow: 3~ C7 GPD
(See note below, if applicable
C-11 Fits so a L_ (Repair)
Installation Requiirements/Conditions Number of trenches
Septic Tank Size 1 n 00 gallons Exact length of each trench C> feet
Pump Tank Size gallons Trenches shall be installed on contour at a
Maximum Trench Depth of: !~,14 inches
(Trench bottoms shall be level to +/-1/4"
in all directions)
Pump Requirements: ft. TDN vs. GPM
Conditions:
Trench Spacing: I Feet on Center
Soil Cover: 1a inches
(Maximum soil cover shall not exceed
36" above the trench bottom)
Aggregate Depth:
inches below pipe
inches above pipe
inches total
**If applicable: /understand the system type specified is different from the type specified on the application. / accept the specifications of this permit.
Owner/Legal Representative Signature: Date:
This Construction Authorization is subject to revocationlf thr site pla , la4 or the intended use changes. The Construction Authorization shall not be transferred when there is a change in ownership of the site. This
Construction Authorization is st compliance witft e provi ff th s and Rules for Sewage Treatment and Disposal and to the conditions of this permit SEE ATTACHED SITE SKETCH
Authorized State Agent: Date: 'A
Conston Authorization Expiration Date:
HTE# Permit #31~
Harnett County Department of 1'liblic nealth
Site Sketch
ISSUED TO:
Authorized State Agent:
PROPERTY LOCATON: C-,---L-- 5~ ~~,Cs V ~
_ SUBDIVISION NEB Ag ~-Lo NS LOT #
vwFat toy ooQ Date: ` D at -
Cg
S~A¢;L~(G~A-~
Cl
ueparnl l I U I It UI C 1IVII UI III ICI It, rlCdltl 1, dl lu "dlu ldl I\GJUUI uuG
Division of Environmental Health
On-site Wastewater Section
SOILrSITE EVALUATION
for ON-SITE WASTEWATER SYSTEM
Owner:
Address:
Proposed Facility: Design Flow (.1949)340
Location of Site:
J I IGC 1.
Property ID:
Lot
File
Code:
Applicant:
Water Supply: Public (j Individual ( ]Well
Evaluation Method: Auger Boring [ j Pit
Type of Wastewater: )j,8ewage ( j Industrial Process
Date Evaluated: 4)_'-A6-\
Property Size:
Property Recorded:
(j Spring [ j Other
( j Cut
( j Mixed
P
R
o
F
SOIL MORPHOLOGY
.1941
OTHER
PROFILE FACTORS
1
L
E
#
.1940
Landscape
Position/
Slope%
Horizon
Depth
(IN.)
1941
Structure/
Texture
.1941
Consistence
Mineralogy
.1942
Soil
Wetnesst
Color
.1943
Soil
Depth (IN.)
.1956
Sapro
Class
.19"
Restr
Horiz
Profile
Class
81 LTAR
-A6
G S
VrrL ~+5'
0% -LO
G
li 2Z BSI
s.,L PF4ytiKET9'~ 4a,~
a-
vrz-2-- ~s
P
Description
Initial System
Repair System
Available Space (.1945)
V
System Type(s)
V
Site LTAR
1t
Other Factors (.1946):
Site Classification (.1948): PS
Evaluated By: ~y
Others Present:
-S -_i' Q~Q'i